Cross, Brian
Cross, Brian is an individual health care provider with primary practice located at 1001 N Tustin Ave , Santa Ana CA 92705-3502. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Cross, Brian can be contacted via phone (714) 953-3515.Contact Information
Primary practice address
1001 N Tustin Ave
Santa Ana CA 92705-3502
Phone: (714) 953-3515
Fax: (714) 953-4259
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | G40254 | California |
Profile Details
NPI number | 1720072002 |
---|---|
LBN Legal business name | Cross, Brian |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 1st, 2005 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720072002 | NPPES |
California | MEDICAID | 00G402541 |
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